Time to catch up

Kirstie Stott, an NHS Graduate Management Trainee, reinforces her plea for more women – and mums – in senior leadership positions:

A long time ago (but should have been longer) I worked in a casino; I was just 18 years old and was filling time before I started my nurse training.

I can recall so clearly the night when my female manager pulled me to one side and asked me to start wearing make up for work as it was important the ‘girls’ looked like ‘girls’. Being only 18 I didn’t ask the obvious question which was, are the ‘boys’ being asked to wear make up too? Needless to say I left the organisation shortly after.

What made me think of this was having recently attended The Kings Fund Women Leaders Conference. Even though I know there is a shortage of women in senior leadership positions in the NHS, the statistics still took me by surprise. Why I felt surprised I can’t say, I suppose it’s down to the fact it’s 2013! However I shouldn’t be surprised as I am one of those women who find the current challenges faced by women leaders unnecessary and frustrating. Who am I? I am a strong yet soft woman; I am resilient and courageous with buckets of passion, I have values that are aligned perfectly to the NHS. Have I got the job yet?

I am also a mummy, a partner and a daughter. This is where I struggle… I struggle to understand why I can’t have it all. A friend recently tweeted me to say she felt that as women we can’t have children AND a career, we can have a job though (so that’s nice to know).

The NHS is going through unprecedented changes and needs a new kind of leader, apparently a younger, dynamic, take on the world leader – herewith I apply! If we need this new breed of leader then surely we need to adapt its environment in order for it to flourish?

I’m currently reading ‘I am Malala’ the story of the school girl who got shot in the head by the Taliban for speaking out for young women and who fights for her and others’ rights to education. She is one of my heroines and has inspired me to have the courage to speak out for my right to be a mum and a senior leader within the NHS.

So why does it matter? So what if there are not many women in senior leadership positions in the NHS? Well it does matter – gender diversity is essential.

We talk in the NHS frequently about doing things differently, more for less, efficiency, embracing change and being inclusive. But I don’t believe we can achieve all these things with the same leadership we have had for the last decade. We need an equal mix of leaders and I believe both men and women bring different attributes that are relevant and will offer difference. Our patients and service users are equal in gender and we need to be able to represent them at every level. Currently we don’t.

As a mum and as an aspirant leader I constantly juggle my own issues regarding being a working mum.  What I ask for is a flexible work environment that will enable me to develop and be the best I can. So here it is my public plea, to all senior leaders in the NHS, don’t focus on input, focus on the output. Do all roles need to be at a desk 9-5? And what if I work four days and not five? Do I do my job well? With passion? Do I inspire? Do I remember the patient in everything I do? Do I make those deadlines? Yes! Yes! Yes!

I am currently a trainee on the fantastic graduate management training scheme, a highly sought after scheme, a scheme that’s internationally recognised for producing excellent senior leaders of the NHS – current CEO NHS England and also the future one (by the way did I mention there has never been a CEO of the NHS that’s female). I love the scheme, yet I ask myself what more it could do to attract young women who have families, its full time, with a Masters (currently) alongside quite a few nights away. We are the future leaders, and I wonder if we always give out the right message in the NHS that its ok to be both mum and NHS leader, and if we don’t get it right now how far we will go to achieve representation of women on our boards and in our senior positions now and in the future?

As a young mum I don’t want to have to make a choice between my children and my career. I believe most women feel compromised to make a decision. Part time executive, board roles barely exist, working full time is part of the territory, with late night and early morning meetings that don’t offer the room to drop our children off at schools.

My vision: Imagine an NHS where women could be women and don’t have to be masculine, tough and strong to reach senior positions. Where women could talk about their children, take time off on sports day and demonstrate what compassion and care actually is. By their very nature women are often great at these so called ‘soft skills’ but what is actually soft about showing emotional intelligence, it’s about putting that that human factor into leadership after all that’s what the NHS is about isn’t it?

So in my first line I say – it should have been longer. What I mean is this behaviour should have been from the dark ages, not 16 years ago, and inflexibility and an under represented female senior workforce should not exist in 2014.

We need to catch up and start making it ok to be a mum and a lead in our NHS.

NHS England’s Blogs Editor Murray Morse said: “One of Kirstie’s blogs has been entered for the National UK Blog Awards 2014.  These awards recognise the multitude of writing talent that exists across the UK. They also provide a unique opportunity for individual professionals from their various sectors and organisations to be recognised for their social media achievements, with the chance to network and be inspired by other industry bloggers.  It would be fantastic to see one of NHS England’s talented guest bloggers recognised in these awards. You can vote for her here  – the public vote closes Monday 13th January 2014.”

Kirstie Stott

Kirstie Stott is an NHS Graduate Management Trainee (GMTS) 2012 Cohort. She originally trained as a registered nurse in 1998 and worked in a nursing capacity for 14 years.

She started NHS life as an Accident and Emergency nurse in 2001 and went on to be the youngest national Emergency Care Practitioner for Yorkshire Ambulance Service working to a senior clinical level.

She is a certified Neuro Linguistic Practitioner after successfully gaining a place on the INNOV8 Accelerate Programme.

In 2011 she beat off 12,350 applicants to gain a place on the prestigious NHS GMTS. Her first placement was at Sheffield Teaching Hospital as an Assistant General Manager working on the integration of two directorates. She then spent 9 weeks working at The Faculty of Medical Leadership and Management developing business cases and strategy planning where she is now regional lead for the FMLM steering group in the north.

Her final placement is at South West Yorkshire Partnership NHS FT as a strategic planner leading on the Integrated Business Plan.

Her passions are in equality and diversity in the NHS and understanding and working towards removing the barriers that stop women and BME staff achieving senior leadership positions.

She also is currently regional lead for NHS Change Day 2014 Yorkshire and Humber.

She lives in Sheffield with her partner and 2 children. Outside of work she enjoys music, and being the best mum and having fun with her 2 boys.


  1. ruth says:

    Hi Kirstie,
    There is much to agree with in this.
    I would add my tuppence worth:

    1. role models- I have had 2 fabulous female bosses. They were both mums. They were respected for their work, and they were able to be themselves. I watch them. I think I could do that.
    2. ‘have it all’- honestly I am not sure what this means. More opportunity/ options, means more choices. No one can be full time mother and full time NHS leader, so there is inevitable compromise. Even if you are part time, sports day is always on the wrong day!
    3. my vision- more flexibility for women AND men to be able to balance their work/ home lives. There is lots of opportunity for ambitious men and women- but is there flexibility for career breaks, part time working, sabbaticals, sick leave for ill children, childcare near the workplace…for men as well as women? This is a culture change aspiration.
    4. finally- your sons are watching you to find out what kind of woman they value. Are you able to enjoy your choices? Are you comfortable with whatever ‘all’ it is that you have?

    Thanks for blogging,